Provider Demographics
NPI:1972261709
Name:JAMES F YUSUF Q ERSKINE DO INC
Entity Type:Organization
Organization Name:JAMES F YUSUF Q ERSKINE DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F YUSUF Q
Authorized Official - Last Name:ERSKINE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:707-829-5455
Mailing Address - Street 1:506 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-4261
Mailing Address - Country:US
Mailing Address - Phone:707-486-9376
Mailing Address - Fax:707-824-9235
Practice Address - Street 1:506 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-4261
Practice Address - Country:US
Practice Address - Phone:707-486-9376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty